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General NPI Number Information
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NPI Number | 1518095892
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Entity Type | Individual
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Provider Name | CINDY L OBRYANT RPH
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 27 SOUTH MAIN ST
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City | MARENGO
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State | OH
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Zip | 43334
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Country | US
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Telephone | 419-253-3831
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Fax | 419-253-2736
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Provider Business Mailing Address
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Address Line | 1164 COUNTY ROAD 170
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City | MARENGO
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State | OH
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Zip | 43334-9637
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Country | US
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Telephone | 419-253-0977
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Fax | 419-253-2736
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03-1-20410
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License Number State | OH
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